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Implementation and Evaluation of a RFID Smart Cabinet to Improve Traceability and the Efficient Consumption of High Cost Medical Supplies in a Large Hospital

  • María del Carmen León-AraujoEmail author
  • Elisa Gómez-Inhiesto
  • María Teresa Acaiturri-Ayesta
Systems-Level Quality Improvement
  • 153 Downloads

Abstract

The efficiency of a smart cabinet with RFID technology to improve the information about inventory management for cardiothoracic surgery as well as for time savings, was assessed in a large reference hospital. In a 6-month study, the implemented operational RFID process (StocKey® Smart Cabinet) consisted of: i) product reception, registration and labelling in the general warehouse; ii) product storage in the cabinet and registered as inputs by radiofrequency; iii) products registered as outputs as required for surgery; iv) product assignment to a patient in the operating room; and v) return of products not used to the cabinet. Stock-outs, stock mismatches, urgent restocking, assignment of high-value medical products to patients, and time allocated by the supervisory staff to the stock management, were assessed on a monthly basis. 0% stock-outs and 0% stock mismatches using RFID were observed during the study. Monthly percentages of products requiring urgent restocking ranged from 0% to 13.3%. No incorrect assignments to patients of surgery products or prostheses were detected. The percentage of correct assignments increased from 36.1%–86.1% to 100% in the first 4–5 months. The total average time allocated by the supervisory staff to the whole logistic chain was reduced by 58% (995 min with the traditional manual system vs. 428 min with RFID). The RFID system showed the ability to monitor both the traceability and consumption per patient of high-value surgery products as well as contributed to significant time savings.

Keywords

RFID High value product Surgery Traceability Logistics 

Notes

Acknowledgements

The authors acknowledge the following people at the Hospital Cruces for their contribution to the study: Esther García Garcia and Leyre Marquez Bilbao. Jordi Bozzo PhD, CMPP (Grifols) is acknowledged for medical writing and editorial assistance in the preparation of this manuscript, under the direction of the authors.

Author’s Contributions

MCLA was the principal investigator. EGI and MTAA contributed to the concept and design of the study and data validation. All authors critically revised the manuscript and approved the final version.

Compliance with Ethical Standards

Conflict of Interest

This study was supported and funded by Grifols. The authors declare that they have no conflict of interest.

References

  1. 1.
    Anonymous Global Traceability Standard for Healthcare. Business Process and System Requirements for Supply Chain Traceability. GS1 Standard. Issue 1.2.0; 2013. Available at: http://www.gs1.org/docs/gsmp/traceability/Global_Traceability_Standard_Healthcare.pdf.
  2. 2.
    Bendavid, Y., and Boeck, H., Using RFID to Improve Hospital Supply Chain Management for High Value and Consignment Items. Proc. Comput. Sci. 00:1–8, 2011.Google Scholar
  3. 3.
    Bendavid, Y., Boeck, H., and Philippe, R., Redesigning the replenishment process of medical supplies in hospitals with RFID. Business Process Manag. J. 16(6):991–1013, 2010.CrossRefGoogle Scholar
  4. 4.
    Bendavid, Y., Boeck, H., and Philippe, R., RFID-enabled traceability system for consignment and high value products: A case study in the healthcare sector. J. Med. Syst. 36(6):3473–3489, 2012.CrossRefGoogle Scholar
  5. 5.
    Bertrand, E., and Schlatter, J., Map of risks for the implementation of radio-frequency identification: Application of ancillaries in the University Hospital Jean Verdier. Die Pharmazie 65(1):64–68, 2010.PubMedGoogle Scholar
  6. 6.
    Çakici, Ö. E., Groenevelt, H., and Seidmann, A., Using RFID for the management of pharmaceutical inventory - system optimization and shrinkage control. Decis. Support Syst. 52:842–852, 2011.CrossRefGoogle Scholar
  7. 7.
    Closs, D. J., How can supply chain managers help the healthcare industry? Logis. Quart. 15:26–27, 2009.Google Scholar
  8. 8.
    Coustasse, A., Tomblin, S., and Slack, C., Impact of radio-frequency identification (RFID) technologies on the hospital supply chain: A literature review. Perspect. Health Inform. Manag. 10:1d, 2013.Google Scholar
  9. 9.
    Dehoratius, N., and Raman, A., Inventory record inaccuracy: An empirical analysis. Manag. Sci. 54(4):627–641, 2008.CrossRefGoogle Scholar
  10. 10.
    Govindarajan, R., Perello-Junca, A., Pares-Marimon, R. M. et al., Process management in the hospital pharmacy for the improvement of the patient safety. Revista de calidad asistencial : organo de la Sociedad Espanola de Calidad Asistencial 28(3):145–154, 2013.CrossRefGoogle Scholar
  11. 11.
    Hendrich, A., Chow, M. P., Skierczynski, B. A., and Lu, Z., A 36-hospital time and motion study: How do medical-surgical nurses spend their time? Perm. J 12(3):25–34, 2008.CrossRefGoogle Scholar
  12. 12.
    Hwang, Y., Yoon, D., Ahn, E. K., Hwang, H., and Park, R. W., Provider risk factors for medication administration error alerts: Analyses of a large-scale closed-loop medication administration system using RFID and barcode. Pharmacoepidemiol. Drug Saf. 25(12):1387–1396, 2016.CrossRefGoogle Scholar
  13. 13.
    Jeddi, F. R., Hajbaghery, M. A., Akbari, H. et al., Technological feasibility of a nursing clinical information system. Electron. Phys. 8(9):2942–2949, 2016.CrossRefGoogle Scholar
  14. 14.
    Kumar, S., Livermont, G., and Mckewan, G., Stage implementation of RFID in hospitals. Technol. Health Care : Off. J. Eur. Soc. Eng. Med. 18:31–46, 2010.Google Scholar
  15. 15.
    Landry, S., and Beaulieu, M., Achieving lean healthcare by combining the two-bin kanban replenishment system with RFID technology. Intern. J. Health Manag. Inf. 1:85–98, 2010.Google Scholar
  16. 16.
    Liu, C. C., Chang, C. H., Su, M. C. et al., RFID-initiated workflow control to facilitate patient safety and utilization efficiency in operation theater. Comput. Methods Programs Biomed. 104(3):435–442, 2011.CrossRefGoogle Scholar
  17. 17.
    Manos, A., Sattler, M., and Alukal, G., Make healthcare lean. Qual. Prog. 39:24–30, 2006.Google Scholar
  18. 18.
    Martin, D., Alcarria, R., Sanchez-Picot, A. et al., An ambient intelligence framework for end-user service provisioning in a hospital pharmacy: A case study. J. Med. Syst. 39(10):116, 2015.CrossRefGoogle Scholar
  19. 19.
    Martinez Perez, M., Cabrero-Canosa, M., Vizoso Hermida, J. et al., Application of RFID technology in patient tracking and medication traceability in emergency care. J. Med. Syst. 36(6):3983–3993, 2012.CrossRefGoogle Scholar
  20. 20.
    Martinez Perez, M., Vazquez Gonzalez, G., and Dafonte, C., Evaluation of a tracking system for patients and mixed intravenous medication based on RFID technology. Sensors (Basel, Switzerland) 16, 2016.CrossRefGoogle Scholar
  21. 21.
    Martinez Perez, M., Vazquez Gonzalez, G., and Dafonte, C., Safety and Traceability in Patient Healthcare through the Integration of RFID Technology for Intravenous Mixtures in the Prescription-Validation-Elaboration-Dispensation-Administration Circuit to Day Hospital Patients. Sensors (Basel, Switzerland) 16, 2016.Google Scholar
  22. 22.
    Mitka, E., Application of Kanban System on a hospital pharmacy. Hell. J. Nucl. Med. 18(Suppl 1):4–10, 2015.PubMedGoogle Scholar
  23. 23.
    Moreno, A., Angulo, I., Perallos, A., Landaluce, H., Zuazola, I. J. G., Azpilicueta, L., Astrain, J. J., Falcone, F., and Villadangos, J., IVAN: Intelligent van for the distribution of pharmaceutical drugs. Sensors (Basel, Switzerland) 12(5):6587–6609, 2012.CrossRefGoogle Scholar
  24. 24.
    Nagy, P., George, I., Bernstein, W., Caban, J., Klein, R., Mezrich, R., and Park, A., Radio frequency identification systems technology in the surgical setting. Surg. Innov. 13(1):61–67, 2006.CrossRefGoogle Scholar
  25. 25.
    Southard, P. B., Chandra, C., and Kumar, S., RFID in healthcare: A six sigma DMAIC and simulation case study. Int. J. Health Care Qual. Assur. 25(4):291–321, 2012.CrossRefGoogle Scholar
  26. 26.
    Teisberg, E. O., Redefining health care: creating value-based competition on results. Boston MA, USA: Harvard Business Review Press, 2006.Google Scholar
  27. 27.
    Williams, M. R., Atkinson, D. B., Bezzerides, V. J., Yuki, K., Franklin, K., Casta, A., and Alexander, M. E., Pausing with the gauze: Inhibition of temporary pacemakers by radiofrequency scan during cardiac surgery. Anesth. Analges. 123(5):1143–1148, 2016.CrossRefGoogle Scholar
  28. 28.
    Zhao, T., Zhang, X., Zeng, L., Xia, S., Hinton, Jr., A. O., and Li, X., Applications for radio-frequency identification technology in the perioperative setting. AORN J. 99(6):764–781, 2014.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  • María del Carmen León-Araujo
    • 1
    • 2
    Email author
  • Elisa Gómez-Inhiesto
    • 1
    • 2
  • María Teresa Acaiturri-Ayesta
    • 1
    • 2
  1. 1.Purchasing and Repository DepartmentCruces University HospitalBarakaldoSpain
  2. 2.Departamento de Compras y AlmacénHospital Universitario CrucesBarakaldoSpain

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